Beliefs about hospital diabetes and perceived barriers to glucose management among inpatient midlevel practitioners
Beliefs about hospital diabetes and perceived barriers to glucose management among inpatient midlevel practitioners
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DOI：
10.1177/0145721707311957
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发表时间：
2008-01-01
影响因子：
3.9
通讯作者：
Beer, Karen A.
中科院分区：
文献类型：
--
作者：
Cook, Curtiss B.;Jameson, Kimberly A.;Beer, Karen A.
目的本研究的目的是探讨住院中层医生对医院高血糖的态度，并确定感知的障碍，以照顾。（医师助理和执业护士），以确定他们对住院患者血糖控制重要性的信念，他们对理想血糖范围的看法，以及他们在医院管理高血糖时遇到的问题。在这项研究中报告的护理障碍也结合了从以前的居民survey.ResultsMost受访者表示，血糖控制是非常重要的危重病，非危重病，围手术期患者的反应。然而，大多数人对治疗高血糖和低血糖以及使用皮下胰岛素感到有些舒适;受访者对使用胰岛素输注和胰岛素泵的信心最小。受访者不熟悉与血糖管理相关的现有机构政策和预先打印的订单集。最常见的障碍，高血糖症的管理在医院是缺乏熟悉如何使用胰岛素，一个发现，持续分析复合居民和中级respons.ConclusionsMost中级供应商承认良好的血糖控制在医院的重要性。不熟悉如何在医院使用胰岛素是最常见的护理障碍。教育计划应着重强调住院治疗策略。
PurposeThe purpose of this study is to explore attitudes among inpatient midlevel practitioners about hospital hyperglycemia and to identify perceived barriers to care.MethodsA questionnaire previously applied to resident physicians was administered to midlevel providers (physician assistants and nurse practitioners) to determine their beliefs about the importance of inpatient glucose control, their perceptions about what glucose ranges were desirable, and the problems they encountered when trying to manage hyperglycemia in the hospital. Barriers to care reported in this study were also combined with responses from the prior resident survey.ResultsMost respondents indicated that glucose control was very important in critically ill, noncritically ill, and perioperative patients. However, most felt only somewhat comfortable treating hyperglycemia and hypoglycemia and with using subcutaneous insulin; respondents expressed the least amount of confidence with using insulin infusions and insulin pumps. Respondents were not familiar with existing institutional polices and preprinted order sets relating to glucose management. The most commonly reported barrier to hyperglycemia management in the hospital was lack of familiarity with how to use insulin, a finding that persisted after analyzing composite resident and midlevel responses.ConclusionsMost midlevel providers acknowledged the importance of good glucose control in the hospital. Lack of familiarity with how to use insulin in the hospital was the most commonly cited barrier to care. Educational programs should heavily emphasize inpatient treatment strategies.